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Home My WebLink About2018-09-24 Form 460 - PS Fire SafetyRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from August 1, 2018 through September 27, 2018 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Cmnplefe Part 5) O Sponsored 0 General Purpose Committee (Alm complete Pad 6) ® Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee IAlso Complete Pad 7) 3. Committee Information Palm Springs Firefighters Association PAC CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 ( MAILING ADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX E-MAILADDRESS 4. Verification COVER PAGE Date Stamp Date of election ifapplicablep: Page 1 of (Month, Day, `(yard Sl l (� F. � 10. 3� For Official Use 2. Type of Statement: 2 Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brandon Wright MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Yucaipa CA 92399 ( NAME OF ASSISTANT TREASURER, IF ANY Damien Myers MAILINGADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Temecula CA 92592 ( OPTIONAL: FAX / E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. .- 9/23/18 Executed on Date Executed on Date Executed on Executed on By and in the attached schedules is true and complete. I By Signature of Controlling Ofgceholtler, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Offireholder, CarWitlate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Firefighters Association PAC Contributions Received 1. Monetary Contributions................................................... Schedule A, Line $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $3215.01 2. Loans Received................................................................ Schedule B, Line 3 3215.01 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 $3215.01 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add tines 3 + 4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ SUMMARY PAGE Statement covers period CALIFORNIA from August 1, 2018 FORM 4111111` September 27, 2018 2 6 through Page of I.D. NUMBER 881536 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and $4904.69 General Elections 1/1 through 6/30 7/1 to Date 4904.69 $ $4904.69 594.81 $ 594.81 $ 594.81 $ 1561.63 3215.01 0.02 594.81 4681.85 1696.81 1696.81 1696.81 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 20. Contributions Received $ $ _ 21. Expenditures Made $ $ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A -_L__ Monetaryw wnvContributions Received ie avnars' Statement covers period a August 1, 2018 from September 27, 2018 3 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Palm Springs Firefighters Association PAC 881536 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR TRIBUTOR NTRIBUTOR CON IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Palm Springs Firefighters Association ❑ IND 9/27/18 180 N Luring Dr ❑ COM $1530 Palm Springs, CA 92262 OTH PTY ❑ SCC Palm Springs Firefighters Association ❑ IND 9/23/18 180 N Luring Dr ❑ COM $1680 Palm Springs, CA 92262 X OTH ❑ PTY ❑ SCC ❑ IND D COM ❑ OTH ❑ PTY ❑ SCC Sun Community Federal Credit Union ❑ IND 8/27/18 ❑ COM $5.01 OTH Ij PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ $1689.68 9 Schedule A Summary *Contributor Codes 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ $3215.01 W $3215.03 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary OT Expenditures Amounts may De rounae0 Statement covers period7I.DNUMBER! to whole dollars. Supporting/Opposing Other • August 1, 20180 -.4 Candidates, Measures and Committees from September 27, 2011 4 5 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.7-DEC. 31) (IF REQUIRED) OR COMMITTEE Russ Bogh for County Supervisor ® Monetary 9/19/18 217 W 4th St Contribution $500.00 $500.00 Beaumont, CA 92223 ❑ Nonmonetary Contribution ❑ Independent 21 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ $500 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ $500 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) $500 P P P ( ry 9) �� TOTAL.. $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE AE OF FILER Palm Springs Firefighters Association PAC Amounts may be rounded to whole dollars. Statement covers period from August 1, 2018 through'eptember 27, 2011 Page 5 I.D. NUMBER 881536 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E of 6 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I-D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Damien Myers Office Supplies 44719 Johnston Dr OFC 51.49 Temecula, CA 92592 Staples Office Supplies 32120 CA-79 OFC $43.32 Temecula, CA 92592 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 94 81 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ $94.81 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Am^vsmf� ., %# he SCHEDULE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period August 1, 2018 from September 27, 201 � through • . , • - .1 6 6 Page of NAME OF FILER Palm Springs Firefighters Association PAC I.D. NUMBER 881536 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. Schedule I Summary 1. Itemized increases to cash this period . ........................................................................................................................... $ 2. Unitemized increases to cash of under $100 this period................................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................................. TOTAL $ SUBTOTAL $ 0.02 0.02 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fnnc.ca.eov